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25 | Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced annual visit at the facility with focus on infection control, medication and food review. LPA Flores met with Francisca Contaoi Caregiver and explain the reason for the visit. Katherine Pavon Administrator arrived 20 minutes later.
The facility is licensed to serve 6 non-ambulatory residents, of which 1 may be bedridden and has a hospice waiver for 6. The facility is a single home located in a residential area and consist of 4 resident bedrooms, 2 bathrooms, living room, dining area, kitchen, indoor/outdoor yards, a attached garage with a laundry area.
LPA Flores conducted a tour of the facility with Francisca Contaoi Caregiver and observed the following:
Living room has entry point with signs posted, hand sanitizer and visitor's log. Kitchen/dining room was observed and facility maintains sharps locked in drawer. Sufficient food supplies were observed for at least 2 days of perishables and 7 days of non-perishable. Cleaning supplies are stored in the garage and under lock. All bedrooms have the required furniture, bedding, and sufficient lighting. Bathrooms were observed in working condition and water temperature was tested as follow; bathroom #1(B1) tested at 113.3 and bathroom #2(B2) tested at 111.7 degrees F. Interlace Smoke/Carbon monoxide detectors were tested and in working condition. Fire extinguishers were observed under the sink and in the garage. No large bodies of water were observed, back yard has a shaded sitting area. Medication and files were reviewed for 2 residents and TB clearance was reviewed for 2 staff. Administrator's certificate was observed for Katherine Pavon #6025256740 expiration date 6/2/23.
All COVID related guidelines are currently being followed by the facility.
Exit interview was conducted with Katherine Pavon and a copy of this report was provided. |